Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Davis-Warner, LPC

Individual provider Professional Counselor · NPI 1043696982

Dominique Davis-Warner, LPC is a Professional Counselor in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1337B Springer Ridge Rd
Carbondale, IL 62902-7902
Phone: (601) 415-2313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178010889 (IL)

Record details

NPI number1043696982
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 3, 2015
Last updated in NPPESAugust 3, 2015
Mailing address1337b Springer Ridge Rd, Carbondale, IL 62902-7902

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